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Exam (elaborations)

LPN Fundamentals Of Nursing Exam .1-6 FINAL EXAM.

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LPN Fundamentals Of Nursing Exam .1-6 FINAL EXAM.

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LPN Fundamentals Of Nursing Exam 1-6
FINAL EXAM

Define Sinus Tachycardia - correct answers-Regular
Rhythm, rate 100-180 beats/min (higher in infants)


When is the best time of the month to perform a self-
breast examination? - correct answers-4th to 7th day
during menstrual cycle or days after cycle has ended.


Define total Patient Care - correct answers-Rn is
responsible for all aspects of care for one or more pts
during a shift of care. Care is usually consistent,
comprehensive, and holistic, care can be delegated. RN
works directly with pt, family and health care team
members.


Define Primary nursing - correct answers-1 primary RN
assumes responsibility for a caseload of patients, provides
care for the same pts during their stay in health care
facility. RN assesses pt, develops plan of care and delivers
appropriate nursing intervention. Communication is
lateral from nurse to nurse and caregiver to caregiver.


Define major surgery - correct answers-Involves extensive
reconstruction or alteration in body parts, poses great
risks to well being.


Describe a stage II pressure ulcer - correct answers-Partial
thickness loss of dermis presenting a shallow ulcer red-
pink wound bed without slough. May present an intact or

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open. ruptured serum filled blister. Shiny dry shallow ulcer
without slough or bruising.


Define Presbyscusis - correct answers-Hearing loss
associated with aging. Usually involves both a loss of
hearing sensitivity and a reduction in the clarity of
speech.


Define Ventilation - correct answers-movement of air in
and out of the lungs. Afterload ejection of blood from left
ventricle


define contact precaution - correct answers-Safeguards
designed to reduce the risk of transmission of
epidemiologically important microorganisms by direct or
indirect contact.


what sound do rhonchi make - correct answers-sonorous
wheeze-coarse, low pitched: may clear with cough.


describe head lice - correct answers-attach their eggs to
hair, eggs look like oval particles of dandruff. Lice are
difficult to see, observe for bites or pustule eruptions in
the follicles and area where skin surfaces meet behind the
ears in the ears and in the groin.


describe diffusion - correct answers-movement of gases
between air spaces and blood stream


what is the final step in a complete assessment? - correct
answersdocumentation

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S/S of hypostatic pneumonia - correct answers-decreased
lung expansion, generalized respiratory muscle weakness
and secretions occur without immobility. (comes from
inflammation of the lung from stasis or pooling of
secretions. )


s/s of respiratory acidosis - correct answers-increased
PaCo2 and increased hydrogen ion concentration below
7.35. This reflects the excess carbonic acid in the blood
(hypoventilation produces R. acidosis)


what is the primary advantage of hydrogel dressing ? -
correct answerscontains a high percentage of water for
wounds that require moisture. Maintaining a moist wound
environment needed for healing. Hydrogel facilitates
debridement by softening dead tissue.


A pt complains of chills, dizziness and feeling hot during a
blood transfusion. What are the nurses most appropriate
actions? - correct answers-Stop transfusion immediately.
Remove blood component and tubing containing and
tubing contacting blood products
replace with new primed tubing with 0.9% sodium chloride
Maintain patent IV line with normal saline
Stay with patient observe signs and symptoms and
monitor every 5 min. Notify health care ream or response
team notify bank

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